白内障术后并发感染性眼内炎的风险因素分析  

Analysis of risk factors of concurrent infective endophthalmitis after cataract surgery

作　　者：缪丽萍[1] 李莉 MIAO Li-ping;LI Li

机构地区：[1]泰州市人民医院眼科,泰州市225300

出　　处：《护理实践与研究》2020年第23期12-14,共3页Nursing Practice and Research

摘　　要：目的探讨白内障术后并发感染性眼内炎的风险因素。方法以本院2018年1月至2019年12月收治的400例白内障术后患者为研究对象,统计术后并发感染性眼内炎的情况,采用单因素分析和多因素logistic回归分析白内障术后并发感染性眼内炎的风险因素。结果400例患者中发生感染性眼内炎11例,发生率2.75%。不同性别、白内障病程、合并高血压患者术后并发感染性眼内炎发生率比较差异无统计学意义(P>0.05),不同年龄、合并糖尿病、手术时间及术中玻璃体溢出患者术后并发感染性眼内炎发生率比较差异有统计学意义(P<0.05)。多因素logistic回归分析显示,年龄、合并糖尿病、手术时间及术中玻璃体溢出是白内障术后并发感染性眼内炎的独立危险因素(P<0.05)。结论白内障术后并发感染性眼内炎的风险因素包括年龄、手术时间、合并糖尿病及术中玻璃体溢出,对患者实施预防感染性眼内炎发生的预防护理措施,可明显降低术后感染性眼内炎发生率。Objective To explore the risk factors of concurrent infective endophthalmitis after cataract surgery.Methods To take 400 cases of postoperative cataract patients admitted to our hospital from January 2018 to December 2019 as the study objects,the postoperative complications of infective endophthalmitis were counted,and univariate analysis and multivariate logistic regression were used to analyze the risk factors of concurrent infective endophthalmitis after cataract surgery.Results Among 400 cases of patients,11 cases of infectious endophthalmitis occurred,with an incidence rate of 2.75%.There was no significant difference in the incidence of postoperative infective endophthalmitis in patients with different genders,course of cataract disease,and combined hypertension(P>0.05),and there were statistically significant differences in the incidence of postoperative infective endophthalmitis in patients with different ages,combined diabetes,operation time and intraoperative vitreous overflow(P<0.05).Multivariate logistic regression analysis showed that the age,combined diabetes,time of operation and intraoperative vitreous overflow were the independent risk factors affecting postoperative infective endophthalmitis(P<0.05).Conclusion The risk factors affecting postoperative infective endophthalmitis after cataract surgery included the age,time of operation,combined diabetes,and intraoperative vitreous overflow.The implementation of preventive nursing measures to prevent infective endophthalmitis can significantly reduce the incidence of postoperative infective endophthalmitis.

关 键 词：白内障 感染性眼内炎 风险因素分析 

分 类 号：R473.77[医药卫生—护理学]